Spine Care Pa | |
5810 Excelsior Blvd, St Louis Park, MN 55416-2830 | |
(952) 927-8686 | |
(952) 927-8687 |
Full Name | Spine Care Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 5810 Excelsior Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831105170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jeffrey D Schramm |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1811002876 PECOS PAC ID: 7618040098 Enrollment ID: I20080717000536 |
Provider Name | Travis G Gilbertson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720595481 PECOS PAC ID: 5395094213 Enrollment ID: I20180824002491 |
Mailing Address | Practice Location Address |
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Spine Care Pa 5810 Excelsior Blvd, St Louis Park, MN 55416-2830 Ph: (952) 927-8686 | Spine Care Pa 5810 Excelsior Blvd, St Louis Park, MN 55416-2830 Ph: (952) 927-8686 |
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